Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $57.54	Professional		$54.95	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $69.18 / $107.15	Facility		$54.95	$69.18	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $83.18	Professional		$69.18	$69.18	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $70.79 / $181.97	Facility		$69.18	$70.79	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $69.18 / $74.13	Professional		$66.07	$69.18	$74.13